Individual provider Active NPI

Jeffrey Alan McFadden, DO

  • Family Medicine Physician
  • Wilmington, NC
National Provider Identifier
1487678652
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200701218 Issued in NC
Practice address
1984 S 16TH St Ste 1
Wilmington, NC 28401-6674
Phone
(910) 452-8633
Fax
(910) 452-8569
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02002556A IN
Family Medicine Physician 207Q00000X 200701218 NC Primary
Family Medicine Physician 207Q00000X 036104766 IL

Addresses

Primary practice location

1984 S 16TH St Ste 1
Wilmington, NC 28401-6674

Mailing address

PO Box 15109
Wilmington, NC 28408-5109
Phone (910) 392-2525

Other identifiers 7

IdentifierTypeStateIssuer
147HROtherNCBCBS OF NC
02002556AOtherINSTATE LICENSE NUMBER
812085OtherNCPARTNERS/BLUE MEDICARE
02002556BOtherINSTATE CONTROLLED LIC
5907839MedicaidNC
036104766OtherILSTATE LICENSE NUMBER
336090764OtherILSTATE CONTROLLED LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IN, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20071121000374 NC Practitioner - Family Practice 2961590104 Reassigns benefits to 1 organization
I20110919000147 IN Practitioner - Family Practice 2961590104 Reassigns benefits to 1 organization
I20120501000728 IL Practitioner - Family Practice 2961590104 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Health Associates, P.a.Group PAC ID 6406867191, 15 clinicians

Practice addresses (Care Compare)

1984 S 16TH St
Suite 1
Wilmington, NC 28401-6674
Phone (910) 452-8633

Hospital & facility affiliations

  • Providence Health Care Center Nursing home, St Mary of the Woods, IN, CCN 155802
  • Liberty Commons Rehabilitation Center Nursing home, Wilmington, NC, CCN 345468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036104766ILMDFamily Medicine Physician
02002556AINMDFamily Medicine Physician
200701218NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Health Associates, P.a. Family Medicine CurrentSince Jan 29, 2026 Accepting new patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Aug 15, 2022 Accepting new patients
Rockford Health Physicians CurrentSince Jan 1, 2016 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jan 18, 2021 Accepting new patients
Union Hospital Inc Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Union Hospital, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 15, 2022 Accepting new patients
BRMG-PC Family Medicine Past Accepting new patients
Aberdeen Ventures, LTD. Past Accepting new patients

Locations

391 S Bolingbrook Dr
Bolingbrook, IL 60440
Phone (630) 226-1006

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

5819 Reliable Pkwy
Chicago, IL 60686

410 N 2nd St
Marshall, IL 62441
Phone (217) 826-2358

408 N 2nd St
Marshall, IL 62441
Phone (217) 826-2361

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

2401 Columbus Blvd
Kokomo, IN 46901
Phone (765) 236-0786

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1709 S 16th St
Ste A
Wilmington, NC 28401
Phone (910) 452-8633

1984 S 16th St
Ste 1
Wilmington, NC 28401
Phone (910) 452-8633

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1487678652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15109",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085109",
            "telephone_number": "910-392-2525",
            "fax_number": "910-392-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 S 16TH ST STE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016674",
            "telephone_number": "910-452-8633",
            "fax_number": "910-452-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002556A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200701218",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036104766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "147HR",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "02002556A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS/BLUE MEDICARE",
            "identifier": "812085",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLLED LIC",
            "identifier": "02002556B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907839",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "036104766",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLLED LICENSE",
            "identifier": "336090764",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.